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HomeMy WebLinkAboutMiscellaneous - 80 MORNINGSIDE LANE 4/30/2018 (2)C3 o m IDS-, I.AA).E NDS." pAgL-- Pot3EQT KEE.t`i £cru C o',vSTRUCP t?rt s --�. Lawrencegde P:E. 1.08,East Main St A-oo i R�oC-E MA 0# 833 _ ,.,_r..g i� l� i d t1 E t E R k2 oc fh L.1 WzC c „r ' fagpl tOWit, I CS%',+104 T, MCVF-V 97% 3S?- 83f -= F ;------- -- —,- -• --- --+-- --� _ _ �,. f Gist IL WV � F { i I t ' -� rJ 4 ( �r 'r � I $_° MdP.AJ«AG ISI'D F; (. E-- P0P1iz.Ztak3EQZ' LEEN ' G�jySTRtICr©�J _ 3 978-479 ebO-3 Lawrence H. Ogden P.E. 198 East Main St -- —L v� ( RIDC-E ;OP -AM buejz FLeAp Boom wNaRm Georgetown,MA01833 59( r1 R 97% 3SL Sat$T«ESW� I I � i 3"�t i ^—•—•-� - S f r 111 r f —•—v :----'t-----+— —�. r t r � SPA" tS Is ! r g Lock I?Oar- ' I E $ faig E If 2-5 A T'_ 4SADEP, 12AFre04, w e.I —. �. # . ......E .1.. - �_ .—t---f."�i- --•r-.._.a. .-...-...._. -,—f.� }..._.....-'*-----'±- V ±.. ..-^----tf - ! i t (W ....c.��.._. ...� — r - 59( I � i rF�---�------- � F 111 r f —•—v :----'t-----+— —�. r t r � r 59( Location No. Date MORT" TOWN OF NORTH ANDOVER 3? °. • O AL Certificate of Occupancy $ � Y suMusE Building/Frame Permit Fee $ A Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # wd:�_ 1766.1 �`- -Building Inspe r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT WAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING M& Seedw 1 BUILDING PERMIT NUMBER: DATE ISSUED: 19V 9 =oda �lJ� SIGNATURE: Building Commissionerfl2j& for of Buildings Date QrVTrl1N 1 _ QTTTi rlf V&-%Dw.a a mli►wr 1. l Property Address: a t f\,rA c,,- GLe-, (A 0- 1.2 Assessors Map and Parcel Number: v /C7 1 Map Number _moo Parcel Number '- o ^ A i () l 1.3 ZoningInformation: Zoning District Proposed Use 1.4 Property Dimensions: > Lot Areas Fronts ft 1.6 BUILDING SETBACKS tt Front Yard Side Yard Rear Yard Required Provide Required Provided RegLured Provided 1.7 Water S M.G.L.C.40. apply ) Public ❑ Private (1 1.5. Flood Zone iofmmation: / Zone Outside Flood Zone V 1.8 Sew Municipal Disposal System: on site ROMI"fixte m 4z SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT m Names (Print) MAI-V--- Telephone AI v z. vwner�oi xeccoro: Name Print Telephone 70 Mz r R L6=cS� v� Address for Service b'lY Address for Service: SECTION 3 - CONSTRUCTION SERVICES 3.1 Li sed Construc ion Supervisor: 'v . I ( Not Applicable ❑ Licensed C struction Supervisor: % Cs— 0(,^ ( „r 1 License Number Address a/ILI DCX Expiration Date Signature Telephone Home Improvement Contractor (4 W Company Name t I I Address Not Applicable ❑ tai a3 Registration Number — I / Iv DS Expiration Date IV M X Z O V SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check ag applicable) New Construction ❑ 1 Existing Building Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑I Demolition ❑ I Other ❑ Specify Brief Description of Proposed Work: " n At r/'e -P (a) P v 1 C V, ., 6 A 414 f )nA. C I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building ! L{ rt I S v �- (a) Building Permit Fee Multiplier 2 Electrical �d v t (b) Estimated Total Cost of Construction y j / /� / (D L 3 Plumbing Building Permit fee (a) X (b) / / (p "'- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 6 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, Law P{. as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief �J (.� "—VL( -Q,, 1 (6 PrinName vmq-4 RMA 01 r if /64 Si ature of Owner/Agent Date NO. OF STORIES SIZE g BASEMENT OR SLAB 14 SIZE OF FLOOR TIMBERS 1 2 � 3Ru1 SPAN DIMENSIONS OF SILLS LV DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION — THICKNESS LO ` SIZE OF FOOTING X MATERIAL OF CHRANEY IS BUILDING ON SOLID OR FILLED LAND o IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ******APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT 1(S PHONE-1IT�$� 6 LOCATION: Assessor's Map NumberDi -3 Q PARCEL.9jo 6,o SUBDIVISION 44 LOT (S) STREET _`Ci jj f tl tnr..Sc W ec.�l ST. NUMBER 670 ********* **********OFFICIAL USE ONLY ********** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN COMMENTS DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 0 "r --- CONSTRUCTION SERVICES AGREEMENT Contractor: Owner: Date: Howell Design & Build, Inc. Jonathan and Gillian Pearlson September 14, 2004 360 Merrimack St. Bldg 5 80 Morningside Lane Lawrence, MA 01843 North Andover, MA 01845 Phone: 978-989-9440 Project: C.S.L. #068232 Additions and Renovations H.I.C. #123237 I. PARTIES & DATE OF AGREEMENT This contract (hereinafter referred to as "Agreement") is made and entered into on this 14th day of September, 2004, by and between Jonathan and Gillian Pearlson, (hereinafter referred to as "Owner"); and Howell Design & Build, Inc., (hereinafter referred to as "Contractor"). In consideration of the mutual promises contained herein, Contractor agrees to perform the following work: II. SCOPE OF WORK DESCRIPTION & CONTRACT SUM The Contractor shall perform the "Work" as described in this Agreement and the following Attachments, which are incorporated into this Agreement by reference below: A. ATTACHMENTS 1)&A' sheets of Plans titled "Pearlson Residence" by Timothy Burk Assoc., dated September 3, 2004 2) 11 page Scope of Work Description & Specifications dated September 14, 2004. 3) 2 age List of Contract Allotments dated September 14, 2004. 4) 't:Z page List of Contract Options dated September 14, 2004. 5) 2 page Schedule of Values dated September 14, 2004. 6) 1 page Substantial Completion Agreement dated September 14, 2004. 7) 2 page Limited Warranty dated September 14, 2004. B. CONTRACT DOCUMENTS The "Contract Documents" consist of this Agreement, the Attachments listed above, and Modifications issued after execution of the Contract. There are three (3) types of modifications: 1) FCO "Field Change Order" is a written directive from the Owner for the Contractor to proceed with a change in the work prior to the final cost of the change being known, the exact amount of extra time required for performance of the change, and/or prior to a "Contract Change Order" being executed. 2) CCO "Contract Change Order" is a written agreement between the parties to change the Work including the cost, or estimated cost, of the change, and the change in days to the Date of Substantial Completion specified in this Agreement. The cost or estimated cost of the Change Order is then incorporated into the Schedule of Values and becomes payable according to the payment terms discussed below in the Agreement. 3) A written amendment to the Contract signed by both parties. C. CONFLICT OF DOCUMENTS If any conflict should arise between the Contract Documents, then the following order of precedence will be followed in determining the terns and conditions that shall be controlling and binding upon the Page: 1 of 8 Initials% / / r parties to this Agreement: 1) this Agreement 2) Substantial Completion Agreement 3) Limited Warranty 4) Schedule of Values 5) List of Contract Allotments 6) List of Contract Options 7) Scope of Work Description & Specifications 8) Plans D. CONTRACT SUM (price for all work described above): $ 167,450 E. TOTAL ALLOTMENTS (included in Contract Sum): S 17,770 (See attached "List of Contract Allotments") F. TOTAL OPTIONS (not included in Contract Sum): $ 1,600 (See attached "List of Contract Options") III. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE A. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL COMPLETION Commence work on or about September 23rd, 2004. Contractor to achieve substantial completion of all work in this Agreement on or abound mad 20(Wnot including delays and adjustments for delays caused by: inclement weather, accideis, ad rt�ional time required for performance of Change Order work (as specified in each Change Order), elays caused by Owner, and other delays unavoidable or beyond the control of the Contractor. B. EXCLUSIONS Unless specifically included in the Scope of Work described above, this Agreement does not include labor or materials for the following work: 1. Fees for design or engineering work including any additional D&E work required by building inspectors. All D&E work to be billed under separate Design Services Agreement. 2. Surveying that may be required to establish accurate property boundaries for setback purposes 3. Temporary sanitation, power, or fencing 4. Moving Owner's property around the site 5. Repair or replacement of Owner -supplied materials 6. Public or private utility connection fees 7. Repair of unforeseen and concealed conditions including, but not limited to, repair of concealed underground utilities not located on prints or physically staked out by Owner which are damaged during construction 8. Testing, removal and disposal of any materials containing asbestos (or any other hazardous material as defined by the EPA) 9. Removal of filled ground or rock or any other materials not removable by ordinary hand tools or other heavy equipment already on-site 10. Any digging or excavation below the grades shown on the plans in the event that soils unsuitable for supporting the specified footings are discovered 11. De -watering of excavations 12. Frost protection for open excavations Page: 2 of 8 Initials: 1 1 /-M L effect. Any future modification of this Agreement must be executed in writing in order to be valid and binding upon the parties. L. TRANSFERENCE This Agreement is between Owner and Contractor and is not transferable to other parties without the prior written consent of both Owner and Contractor which shall not be unreasonably delayed or withheld. M. EXPIRATION OF THIS AGREEMENT This Agreement will expire 30 days after the date at the top of page one of this Agreement if not accepted in writing by Owner and returned to Contractor within that time. O. OWNER'S 3 -DAY RIGHT OF RECISION The Owner may cancel this agreement with no further obligations by notifying the Contractor in writing that they wish to cancel the agreement within 3 business days of the date they signed the agreement. I have read and understood, and I agree to, all the terms and conditions contained in the Agreement above. Ci ate tephen D. Howe resident Howell Design & Build, Inc. Page: 8 of 8 Initials:�D� ;J North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of Facility) —(a� kwl� Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector ACORD, CERTIFICATE OF LIABILITY INSURANCE OP ID L DATE(MWDD/YYYY) HOWEL-1 06/02/04 PRODUCER t THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brenton Tyler/Ralph Rubin Ins. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The McCarthy Companies HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . O . Box 540169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ltham MA 02454-0169 .one:781-893-4808 Fax:781-893-6679 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Insurance 22357 INSURER B: Safety Insurance Company Howell Design & Build, Inc INSURER C: Atlantic Charter 360 Merrimack Street, Bldg #5 INSURER D: Lawrence MA 01843 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LTR DO NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY 0 8 SBAGH6 8 3 5 06/01/04 06/01/05 PREMISES (Ea occurence) S 300,000 MED EXP (Any one person) $ 10,000 CLAIMS MADE a OCCUR X EPL -$5000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ B ANY AUTO 1500162 04/17/04 04/17/05 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ 250000 X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY S 500000 X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ 250000 (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMI ER CFF EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WCA0 012 0 7 0 3 06/01/04 06/01/05 E.L. EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Contactor I.CK r iriL,Fi I C rIULUtK ACORD 25 (2001108) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. K A-- —�;?, 1988 Board of Buildin e ulations g one Ashburton Place, m 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 02/14!1962 Number: CS 068232 Expires: 02/14/2006 Restricted To: 00 STEPHEN D HOWELL 15 MT VERNON RD BOXFORD, MA 01921 Tr. no: 16114 Keep top for receipt and change of address notification. ' BOARD OF BUILDING REGULATIc License: CONSTRUCTION SUPERVISE Number: CS 068232 Birthdate: 02/1411962 Expires: 02/1412006 Tr. no: 1' I Restricted: 00 STEPHEN D HOWELL 15 MT VERNON RD gcting C mis BOXFORD, MA 01921 L.i' � (%� i/ tiJ�%i i/_' c f/+� f ✓'��%%✓i/✓ ti l<�i r li �.� �� �;: � ���L u✓�'✓.1,%, Board of Building Regulations and Standards One Ashburton Place - Room 1301. Boston. Massachusetts 02108 Home Improvement Contractor Registration HOWELL DESIGN & BUILD STEPHEN HOWELL 44 BEECHWOOD DRIVE N. ANDOVER, MA 01845 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 123237 Expiration: 1/1012005 Type: Public Corporation HOWELL DESIGN & BUILD STEPHEN HOWELL 44 BEECHWOOD DRIVE N. ANDOVER, MA 01845 Administrator Registration: 123237 Type: Public Corporation Expiration: 1/10/2005 Update Address and return card. Mark reason for change. C Address [ Renewal E] Employment (Jj Lost Card License or registration valid for individul use only, before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston, Ma. 02108 Not valid without signature m m m m YI m m C) CA d C SD CA cl) 'v o CD a z v� CD O �• � O O. = CO) o p CD CL � o c� %lcd CD CD o CD C CD mw y CL v y —• O CO C=D a v y O 'O Z O O �CD 0 44CD W F,, RM Vl n O Cn C :0 .z H 14 =y�0 w = z 0 s d0 =6m "o y CD V) C2 0 9 m Z �� H ESL -m 0 MR T rn m CD 0 0 y p y =•?m: m > > O H O m O� O O OO H .O ce OCL CD ca ♦ _ CD y _ a CrJ CD ;my A O O7 N : yad7 .�. a ��Z N � `• m ''^^ _? my m co Z C O CD o 0 � 3 3 �e O co c/)d 168 ; ` 1 . Z Ao NZ. JL ,..:CA — d ED `Q JLr> a='v: a CD L� 7 Cn BO ?r Cn zA zr W 'r1 I r O CR- O �. 8� Q Cl N v H 09 --6-a a 0 c Q 1 - , L=Z�l Of E7 N p / LL., m i -L\ __�) --� Cj) ® -w_0 2 \ T- e-- 0 [OEM qmlffmi it onj 0 [OEM qmlffmi it m ZO L/I 0 Q... 0 Ln 11 we Elm Elm AMEN ff iii m 7m wo 70mil Famoml dX­6ts I 1—1 U) w LL- L• L L uaL ac�®a� o ®-j _j�' _jLL, C2LiJ 0 0 r z z cn -1 o _w LLI L - -WE III C6 I s Uw-J �- LIJ C ER T I F I t --L-'-) pl_o-y— J,DLaIv Or �A N� 1 1J N 012- M R N b ov CiZ pl?-C 1V+ 1Z. C'' 'F© ►z, `.DATt. ; cel ►3 ►99y �- Cray c�,�� �Fy/�r TSG �srevc Tues ' Crst- tE . 1 3a /q�•� r9,r�i�Ela T'A9l,NGc S o A/ Try'/S cNG-/NGt�S ; f7�GN/Z� 1Z. 1711'M tlZ �1.A.✓ ncA 7 1�F)iv�t �igazTbLO�jG� 1 I J _ M E/OJ —4 Q=) c L MO REScheck Compliance Certificate Massachusetts Energy Code Generated by REScheck- Web Software PROJECT TITLE: Pearlson Renovations CITY: North Andover ( C t\ ti L STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 09/23/04 DATE OF PLANS: 9-03-04 PROJECT DESCRIPTION: 2nd floor renovation DESIGNER/CONTRACTOR. Howell Design and Build COMPLIANCE: Passes Maximum UA = 180 Your Home UA = 178 1.1% Better Than Code (UA) Ceiling 1: Flat or Scissor Truss Skylight 1: Metal Frame, 2 Pane w/ Low E Skylight 2: Metal Frame, 2 Pane w/ Low E Wall 1: Wood Frame, 16" o.c. Window 1: Wood Frame, 2 Pane w/ Low E Window 2: Wood Frame, 2 Pane w/ Low E Wall 2: Wood Frame, 16" o.c. Window 3: Wood Frame, 2 Pane w/ Low E Wall 3: Wood Frame, 16" o.c. Window 4: Wood Frame, 2 Pane w/ Low E Window 5: Wood Frame, 2 Pane w/ Low E Wall 4: Wood Frame, 16" o.c. Window 6: Wood Frame, 2 Pane w/ Low E Wall 5: Wood Frame, 16" o.c. Window 7: Wood Frame, 2 Pane w/ Low E Wall 6: Wood Frame, 16" o.c. Permit Number Checked By/Date / IQ #--, 'e Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R Value U -Factor UA 1000 30.0 0.0 35 5 1.050 5 5 1.050 5 305 13.0 0.0 23 10 0.430 4 10 0.430 4 156 13.0 0.0 12 10 0.430 4 255 13.0 0.0 20 7 0.430 3 5 0.430 2 168 13.0 0.0 13 15 0.430 6 203 13.0 0.0 16 7 0.430 3 150 13.0 0.0 10 Window 8: Wood Frame, 2 Pane w/ Low E 24 0.430 Wall 7: Wood Frame, 16" o.c. 42 13.0 0.0 Boiler 1: Other (Except Gas -Fired Steam), 80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck- Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date 10 3 1 REScheck Inspection Checklist Massachusetts Energy Code Generated by REScheck- Web Software DATE: 09/23/04 PROJECT TITLE: Pearlson Renovations Bldg. Dept. Use Windows: [ ] 1. Window 1: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: [ ] ( 2. Window 2: Wood Frame, 2 Pane w/ LowE, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: [ ] 3. Window 3: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes,—Frame Type Thermal Break? [ ] Yes [ ] No I Comments: [ ] 4. Window 4: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments: [ ] 5. Window 5: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: [ ] 6. Window 6: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: Ceilings: [ ] 1. Ceiling 1: Flat or Scissor Truss, R-30.0 cavity insulation Comments: Above -Grade Walls: [ ] i. Wall 1: Wood Frame, 16" o.c., R 13.0 cavity insulation Comments: [ ] 2. Wall 2: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: [ ] 3. Wall 3: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: [ ] 4. Wall 4: Wood Frame, 16" o.c., R 13.0 cavity insulation Comments: [ ] 5. Wall 5: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: [ ] 6. Wall 6: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: [ ] 7. Wall 7: Wood Frame, 16" o.c., R 13.0 cavity insulation I Comments: Windows: [ ] 1. Window 1: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: [ ] ( 2. Window 2: Wood Frame, 2 Pane w/ LowE, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: [ ] 3. Window 3: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes,—Frame Type Thermal Break? [ ] Yes [ ] No I Comments: [ ] 4. Window 4: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments: [ ] 5. Window 5: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: [ ] 6. Window 6: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: [ ] 7. Window 7: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: ( ] j 8. Window 8: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.430 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ j Yes [ ] No Comments: Skylights: [ ] 1. Skylight 1: Metal Frame, 2 Pane w/ Low -E, U -factor: 1.050 For skylights without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes ( ] No Comments: [ ] 2. Skylight 2: Metal Frame, 2 Pane w/ Low -E, U -factor: 1.050 For skylights without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Heating and Cooling Equipment: [ ] 1. Boiler 1: Other (Except Gas -Fired Steam), 80 AFUE or higher Make and Model Number Air Leakage: [ ] ( Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ) When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type 1C rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type 1C rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfin (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R -values and glazing U -factors must be clearly marked on the building plans or specifications. Duct insulation: [ ] Ducts shall be insulated per Table MAT 1. Duct Construction: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape maybe omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and AA Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 °F or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Pipmg_System Types Range ( F) 2" Runouts l" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 Insulation Thickness in inches by Pipe Sizes Heated Water Non -Circulating, Runouts Circulating Mains and Runouts Temperature ( F) Up to 1„ Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Pipmg_System Types Range ( F) 2" Runouts l" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) fa Date /r 0-5 "a TOWN OF NORTH ANDOVER O PERMIT FOR PLUMBING ,SSA, 5�, 7 This certifies that .... !x ' `! . !� .... ...... ` ........... . has permission to perform,-! ;��"`� a� ......�.! ......... . ,plumbing in the buildings of . �' `� �................. , NortliAhdover, Mass. Fee P...... Lie. No! !�,. .. ..... .,� i�PLUMBING IN/ eTOR Check # �7� 6235 550 b MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBI1% (Type or print) NORTH ANDOVER, MASSACHUSETTS Building t P Owners Name of New 1:1 Renovation 0 Replacement FIXTURES Date LtM Permit # Amount (o / , 0 G .e+.%, C Submitted YesNo ❑ (Print or type) M �l Check one: Certificate Installing Company Name p p 1 �l m�i;, ® Corp. Address �"`C 'S� Partner. Business Telephone Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 Other type of indemnity D Bond ❑ a Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance i Signature Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum'n2Co,e and Chapter 142 of the General Laws. By: SignaWre 51 Eicenseaum er Type of Plumbing License Title Wo3 y City/Town icense um er Master M Journeyman ❑ APPROVED (OFFICE USE oNt.r Date ../'��!��/ ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... t ......... ez�� ............................ has permission to perform .... ........................................... wiring in the building of ... ...................................................... at ... ....... z, North Andover, Mass. Fee. ........ Lic. Check # 42 54 L 9 T)WC0MH0NWE4LTH0FM4S94CHUSEhSOffice Use only DEPARTAIEVTOFPUBLICSVE7Y Permit No. BOARD OFFIREPREVFVTIONRF.GUL4T10 S527CAIR12.00 l�T�- Occupancy & Fees Checked APPLICATTONFOR PERMIT TO PERF RMEUCTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSA CHU STS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) � 7 Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical wor descri ed below. Location (Street & Number) Owner or Tenant Owner's Address 5,05�� c_ Is this permit in conjunction with a building permit: Yes ©-V0—[::] (Check Appropriate Box) Purpose of Buildings , �� Gc Utility Authorization No. Existing Service 00Amp Volts Overhead r-7-3-Vinderground No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work • 7-' ,uti s2. No. of Lighting Outlets /' No. of Hot Tubs No. of Transformers Total (O KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round round No. of Receptacle Outlets ^� No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal1:3Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP GTHER- t ka==Comage. PtuS "lDthetegtmmim&ofM GalaalLaws Ihaw aaivartLiabt7tlylrma<nePolicy iwhrlmgCorr>Qkte 0 DmonsCowWorr,subg3toJW,,dat YES �' NO IhavesthniWjdvalidproofofsarlletodrOffim YES Ifyoul>aWdledOdYESpleaseindiraoetheMVOfcoWrWby box INSURANCE BOND � OUR R r7 ft= may) WodcroS4tt �� �''o�i EstimamdValueofEl�ralWotk$ � Rough Final SignedurdcrTrptna sof HRMNAME As .E%c�2�C LkffwNo./D--5-3 T Licefwe Signmrre Lio wNo iss BusTel No. / OWNER'S INSURANCE ANFR,IamawatethattheI-xamdomnothavedrmstn=cuvwdgeaitssuhswwegnvaleqasrogtmedbyMmaduse sGa>ffalLaws and that my sgnatt m on alis pemm application w&mN this m4manalt (Please check one) Owner 0 Agent Telephone No. PERMIT FEE Signature of Owner or gen tHE (IUAMUIVwP.� "UP nA.�lC'HUSE17N DEPARTA1&W0FPUXJ'CS4FEIY BOARD OFFIREPREVEMONRBGULA77ONS527 OUR 120 Office Use only Permit No. !J ?--1 Occupancy & Fees Checked %90 w APPLICA71ONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 0'LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street 8 Owner or Tenant To the Inspector of Wires: Owner's Address .) '09,/0"; e— Is this permit in conjunction with a building permit: Yes r -71—a (Check Appropriate Box) Purpose of Buildings , ��,� �c Utility Authorization No. Existing Service 00Amp Volts Overhead 0-11-nderground ED New Service I Amps Volts Overhead =1 Underground M Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Hot Pool Above No. of Oil Burners No. Generators No. No. of Meters No. of Meters Total KVA KVA tery Units No. of Switch Outlets J [No. No. of Gas Burners FIRE ALARMS No. of Zones of Ranges No. of Air Cond. Total Tons No. of Detection and "Io. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis o. Hydro Massage Tubs No. of Motors Total HP t PlIIsuant b tlIe tegllnH71etY5 &kmiWdvalidproofofsatne0ftOliia-- YES ngftTpMi&bm lf3uft,mdxcWYff,*mu&*ftv,peofcowraXby RANGE LJ BOND L_J OTElFR LJ ?"w**) FVirafianDale Estm*dVaWdE1ec ralWc&$ Final Lice me Sigl a LimmNa /D LimxeNo BusiffmTel.Na Alt 1BUSINSURANCE AIVER;IamawaedwitheLioasedoesmthawtheirm a=cova orilsaksutal .etatmysgnattuecndtispwritapplicatimWMwsdnsttxltme m � byMassact>t>setlsGenaallaws (Please check one) Owner 1:3 Agent rr/ Telephone No. PERMIT FEE $ /g�. signature of Owner or Agent F-,Avot, awe A`e0'r or dark �ovyr( ®K 3 - osp f ` f2i7-n� a - 3 -os o,k,- Psi